Hand-held surgical instrument



FIG. 1 is a perspective view of a hand-held surgical instrument;

FIG. 2 is a side view of the hand-held surgical instrument;

FIG. 3 is a front view of the hand-held surgical instrument;

FIG. 4 is a bottom perspective view of the hand-held surgical instrument; and,

FIG. 5 is a top perspective view of the hand-held surgical instrument. 

The ornamental design for a hand-held surgical instrument, as shown and described. 